Obstetrics

Prenatal analgesic opioid exposure associated with elevated risk of ADHD in children

October 01, 2021

A study in JAMA Network Open has found that prenatal analgesic opioid exposure of 5 or more weeks is associated with a slightly elevated risk of attention-deficit/hyperactivity disorder (ADHD) in children compared to exposure of 4 weeks or less.

Texas Senate Bill 8 (SB 8): NOT just another anti-abortion bill

September 23, 2021

On May 19, 2021, Governor Greg Abbott signed Texas Senate Bill 8 (also known as the Fetal Heartbeat Bill) into law with the statement that this will save lives in the state of Texas. This law is recognized as the most restrictive anti-abortion regulation in the United States today.

Health literacy and maternal/neonatal outcomes

September 15, 2021

Pregnant individuals with inadequate health literacy have a greater risk of cesarean delivery, major perineal laceration, small-for-gestational-age status and low birth weight, compared to individuals with adequate heath literacy, according to an analysis of data from a large, multicenter cohort study of nulliparous individuals in the United States.

Protocols for High-Risk Pregnancies, 7th Edition: Protocol 21, Obesity

September 13, 2021

In this protocol, Ramsey reviews the health implications of obesity for mother and fetus. The incidence of obesity in the United States has increased dramatically. Of pregnant women in the country, more than half are overweight or obese and 8% or more are extremely obese. As the author notes, excessive gestational weight gain, particularly in women who are already overweight or obese, increases risk of maternal complications such as diabetes, hypertension, and operative deliveries and neonatal outcomes such as macrosomia and stillbirth.

Certain incentives may help those with OUD prevent unintended pregnancy

September 10, 2021

Among women with opioid use disorder (OUD) at high risk for unintended pregnancy, on-site contraceptive services coupled with financial incentives to attend follow-up visits to assess contraceptive satisfaction was a significantly more effective and cost-beneficial intervention than without incentives or with usual care, according to a prospective randomized clinical trial in JAMA Psychiatry.